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Resolution No. 2021-237
RESOLUTION NO. 2021-237
RESOLUTION OF THE MAYOR AND CITY COUNCIL OF
THE CITY OF SAN BERNARDINO, CALIFORNIA,
AUTHORIZING THE DIRECTOR OF FINANCE TO
AMEND THE FISCAL YEAR 2021/22 ADOPTED
OPERATING BUDGET TO APPROPRIATE $250,000 FROM
THE GENERAL FUND TO THE PUBLIC WORKS
DEPARTMENT EXPENSE BUDGET IN ACCORDANCE
WITH THE PROFESSIONAL SERVICES AGREEMENT
WITH WILLDAN ENGINEERING; AND AUTHORIZING
THE DIRECTOR OF FINANCE TO OPEN A PURCHASE
ORDER IN THE AMOUNT OF $250,000 WITH WILLDAN
ENGINEERING FOR PLAN CHECK, INSPECTION, AND
STORMWATER MANAGEMENT SERVICES FOR
PROJECTS RELATED TO LAND DEVELOPMENT
ily corehens, he Real lands porten i responde for the pie torin of ti owth and development: a
WHEREAS, the Land Development Division is responsible for reviewing on-sil mprovement plans for residential, commercial and industrial projects and prepares conditions ‹ specially onsie dean cince in accordine rice of dario and opinion rain for projects on private property to meet storm-water quality standards; and WHEREAS, On September 2, 2014, the Mayor and City Council approved the original Consultant Services Agreement with Willdan Engineering, (Resolution 2014-327) to provide building inspection a spectons regist, services to koep pace with the increase in plan check submitals Resolution 2021-237
September 15, 2021
Resolution No. 2021-237
WHEREAS, the City now wishes to appropriate $250,000 from the general fund to Public Works Department expense budget for plan review, inspection, and stormwater management services; and
WHEREAS, services are covered by incoming projects to the City through the fees imposed by the City for incoming development projects. Therefore, the collected developer fees dilar propio anot rosie rest i lie the requested 5250,000
BE IT RESOLVED BY THE MAYOR AND CITY COUNCIL OF THE CITY OF SAN BERNARDINO AS FOLLOWS:
SECTION 1. The above recitals are true and correct and are incorporated herein by this reference.
SECTION 2. The Director of Finance is hereby authorized to amend the FY 2021/22 SECTION 4. Severability. If any provision of this Resolution or the application thereof any person or circumstance is held invalid, such invalidity shall not affect other provisions oplications, and to this end the provisions of this Resolution are declared to be severabl SECTION 5. Effective Date. This Resolution shall become effective immediately.
APPROVED and ADOPTED by the City Council and signed by the Mayor and attested by the City Clerk this 15t day of September 2021.
City of San Bernardino
Resolution 2021-237
September 15, 2021
Resolution No. 2021-237
Attest:
Rohar
Genoveva Rocha, CMC, City Clerk
Approved as to form:
PP.
PiSonia Carvalho, Ciry Attorney
Resolution 2021-237
September 15, 2021
Resolution No. 2021-237
CERTIFICATION
STATE OF CALIFORNIA)
COUNTY OF SAN BERNARDINO) ss
CITY OF SAN BERNARDINO)
I, Genoveva Rocha, CMC, City Clerk, hereby certify that the attached is a true copy of Resolution No. 2021-237, adopted at a regular meeting held on the 15" day of September 2021 by the following vote:
Council Members: AYES NAYS ABSTAIN ABSENT
SANCHEZ
IBARRA
FIGUEROA
SHORETT
REYNOSO
CALVIN
ALEXANDER
WITNESS my hand and official seal of the City of San Bernardino this 16" day of September 2021.
Nocha
A mom
Genoveva Rocha, CMC: City Clerk
Resolution 2021-237
September 15, 2021
ON-CALL PROFESSIONAL SERVICES AGREEMENT
BETWEEN THE CITY OF SAN BERNARDINO
AND WILLDAN ENGINEERING
This Agreement is made and entered into as of July 1, 2021 by and between the City of San Bernardino, a charter city and muncipal corporation organized and Hospitality Lane, Suite 400, San Bernardino, CA 92408 (hereinafter referred to as "Consultant"). City and Consultant are hereinafter sometimes referred to Individually as "Party" and collectively as the "Parties."
RECITALS
city is a public agency of the State of Califomia and is in need ( rofessional services for the following projec
PreL PLAN CHECK AND INSPECTION SERICES (herinater refered to as the B. Consultant is duly licensed and has the necessary qualifications to provide such services.
retain Conelane parte die style are he ro establah the terme for ily to NOW, THEREFORE, IT IS AGREED AS FOLLOWS:
AGREEMENT
here in preten it her labo an us and core and are
particularly described in the individual Task Order issued by the City or its designee. No services shall be performed unless authorized by a fully executed Task Order in the fourte forth requested series in the budgetty Council has allocated suficient ay affect Consultant's performance of this Agreement. Consultant further represen at no City employee will provide any services under this Agreeme
4. Compensation.
1 pursuant to this Agreement shall be designated as "Additional Services" and shall Identify the number of the authorized change order, where applicable, on all invoices.
5. Additional Work. If changes in the work seem merited by Consultant or the City, and informal consultations with the other party indicate that a change is Term. The term of this Agreement shall be from July 1, 2021 to July 1, applicable indemnification provisions of this Agreement shall remain in effect following
7. Maintenance of Records: Audits.
maintained i corance wits general entangle hallbe
nade available to City for inspection and/or audit at mutually convenient times for a eriod of four (4) years from the Effective Date.
Time of Performance. Consultant shall perform its services in a prompt 2 •
and timely manner and shall commence performance upon receipt of a Task Order from the City to proceed.
9. Delays in Performance.
ent that materially affects the Consultant's performance and is one or more of th llowing: (1) Acts of God or other natural disasters occurring at the project site: (
10. Compliance with Law.
obtaining and maintaining all permits required of Consultant by federal, state and local If required, Consultant shall assist the City, as requested, in regulatory agencies.
or removal of hazardous and toxic substances spilled as a result of his or her services If applicable, Consultant is responsible for all costs of clean up and or operations performed under this Agreement.
Standard of Care. Consultant's services will be performed in accordance th generally accepted professional practices and principles and in a manni nsistent with the level of care and skill ordinarily exercised by members of th profession currently practicing under similar conditions.
12. Confilcts of Interest. During the term of this Agreement, Consultant shall 3 at all times maintain a duty of loyalty and a fiduciary duty to the City and shall not accept payment from or employment with any person or entity which will constitute a conflict of City Business Certificate. Consultant shall, prior to execution of this Agreement, obtain and maintain during the term of this Agreement a valid business registration certificate from the City pursuant to Title 5 of the City's Municipal Code and any and all other licenses, permits, quallfications, insurance, and approvals of whatever nature that are legally required of Consultant to practice his/her profession, skill, or Insurance. Consultant shall not commence work for the City until it has a. Additional Insured
b. Commercial General Liability
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erein, Commercial General Liability Insurance, in a form and with insurance compani cceptable to the CI
Deal eas a road he Closing for Comerdal General Libil insurance shal Commercial General Liability Insurance must include
coverage for the following:
(1)
(2) ersonal Infur Advertisina Inu
(3) Premises/Operations Liability
(4)
(5)
(6) Explosion,
exclusion deleted
(7)
(8)
(9)
contain any other exclusion contrary to the Agreement.
stas often, yes age in haly see cly vas need and appointe tatus using ISO endorsement forms CG 20 10 10 01 and 20 37 10 01, c endorsements providing the exact same coverage.
The general liability program may utillze either deductibles Try, and proved that suer deductibes shal not aply to the cily as an al mal C. Automobile Liability
(ii) Coverage for automobile liability insurance shall be at lea broad as insurance Services Office Form Number CA 00 01 covering automob liability (Coverage Symbol 1, any auto).
5 •
The policy shall give City, its elected and appointed officials, officers, employees, agents and City designated volunteers additional insured status.
Mably program may uze deduct tea, tarded thats by ded ilya hal nomaile to the City as an additional insured, but not a self-insured retention. d. Workers' Compensation/Emplover's Liability
Consultant certifies that he/she is aware of the provisions of e. Professional Liability (Errors and Omissions)
f. Privacy/Network Security (Cyber)
At all times during the performance of work under this Agreement, the Designer shall maintain privacy/network security insurance, in a form and with insurance companies acceptable to the City, for: (1) privacy breaches, (2) system breaches, (3) denial or loss of service, and (4) the introduction, implantation or spread of maliclous software code.
g. Aviation and/or Drone Liability
•
•
•. If Consultant uses drones at any times as part of the Services, Consultant shall procure and maintain, at all times during the performance of the work under this Agreement, Aviation and/or Drone Liability insurance for bodily injury and property damage, in a form and with insurance companies acceptable to the City. h. Minimum Policy Limits Required
The following insurance • limits are required for the.
Agreement:
Combined Single Limit
Commercial General Liability
Automobile Liability
Employer's Liability $1,000,000 per occurrence
Professional Liability $1,000,000 per claim and aggregate (errors and omissions)
Cyber Liability $1,000,000 per occurrence and
aggregate
Aviation/Drone Liability $1,000,000 per occurrence limit (ii) Defense costs shall be payable in addition to the limits.
Requirements of specific coverage or limits contained in this section are not intended as a limitation on coverage, limits, or other requirement, or a waiver of any coverage normally provided by any insurance. Any avallable coverage shall be provided to the partles required to be named as Additional Insured pursuant to this Agreement.
i. Evidence Required
Prior to execution of the Agreement, the Consultant shall file with the City evidence of insurance from an insurer or insurers certifying to the coverage of all insurance required herein. Such evidence shall include original copies of the ISO CG 00 01 (or insurer's equivalent) signed by the insurer's representative and Certificate of Insurance (Acord Form 25-S or equivalent), together with required endorsements. All evidence of insurance shall be signed by a properly authorized officer, agent, or qualified representative of the insurer and shall certify the names of the insured, any additional insureds, where appropriate, the type and amount of the insurance, the location and operations to which the insurance applies, and the expiration date of such insurance.
j. Policy Provisions Required
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(i) Consultant shall provide the City at least thirty (30) days prior written notice of cancellation of any policy required by this Agreement, except that the Consultant shall provide at least ten (10) days prior written notice of cancellation of 202322
(I) The Commercial General Liability Policy and Automobile iv) All required insurance coverages, except for the professional liability coverage, shall contain or be endorsed to provide waiver of subrogation in favor K. Qualifying Insurers
1) All policies required shall be issued by acceptable insuranc companies, as determined by the City, which satisfy the following minimu requirements:
I. Additional Insurance Provisions
8 --•_
•
Consultant or City will withhold amounts sufficient to pay premium from Consultant payments. In the alternative, City may cancel this Agreement. copies fall aura pace in require the consulan to prondo complet Neither the City nor the City Council, nor any member of th City Council, nor any of the officials, officers, employees, agents or volunteers shall b personally responsible for any liability arising under or by virtue of this Agreement.
17. Indemnification.
To the fullest extent permitted by law, Consultant shall defend (with performance of the Consultant's services, the Project, or this Agreement, includin without limitation the payment of all damages, expert witness fees, attoreys' fees an of this Agreement.
18. California Labor Code Requirements. Consultant is aware of the
19. Verification of Employment Eligibility. By executing this Agreement, Consultant verifies that it fully complies with all requirements and restrictions of state and federal law respecting the employment of undocumented aliens, including, but not limited to, the Immigration Reform and Control Act of 1986, as may be amended from the to time, and shall require all subconsultants and sub-subconsulants to comply with term of this Agreement, the action shall be brought in a state or federal court situated in 10 the County of San Bemardino, State of California.
21. Termination or Abandonment
City has the right to terminate or abandon any portion or all of the work under this Agreement by giving ten (10) calendar days' written notice to original field notes, drawings and specifications, written reports and other documents produced or developed for that portion of the work completed and/or being abandoned ased on an amount mutually agreed to by City and Consultant of the portion of suc ask completed but not paid prior to said termination. City shall not be llable for an osts other than the charges or portions thereof which are specified herein. Consultar hall not be entitled to payment for unperformed services, and shall not be entitled t Consultant may terminate its obligation to provide further service:
under this Agreement upon thirty (30) calendar days' written notice to City only in the Agreemen heagan fault or consula nerform in accordance with the terms of this connection with this Agreement, the prevailing Party shall be entitled to recover from the and expenses of the City Attorney's Office in enforcing this Agreement on behalf of the City shall be considered as "attorneys' fees" for the purposes of this Agreement
23. Responsibility for Errors. Consultant shall be responsible for its work anc results under this Agreement. Consultant, when requested, shall furnish clarificatior and/or explanation as may be required by the City's representative, regarding any services rendered under this Agreement at no additional cost to City. In the event tha
24. Prohibited Employment. Consultant shall not employ any current employee of City to perform the work under this Agreement while this Agreement is in effect.
Costs. Each Party shall bear its own costs and fees incurred in the hererator except as apresly pro dr heret and in the perfomance of lis obligations -
Organization
the work included antine of Aere escribed above. Limitation of Agreement. This Agreement is limited to and Includes only
29. Notice. Any notice or instrument required to be given or delivered by this greement may be given or delivered by depositing the same in any United States Post , оно та fice, certified mail, return receipt requested, postage prepaid, addressed to the following addresses and shall be effective upon receipt thereof:
CITY: CONSULTANT:
City of San Bernardino 650 E. Hospitality Lane, Suite 400 San Bemardino, CA 92408
Attn: Patrick Johnson
With Copy To:
City of San Bernardino
Vanir Tower, 290 North D Street
San Bernardino, CA 92401
Attn: City Attorney
30. Third Party Rights. Nothing in this Agreement shall be construed to give any rights or benefits to anyone other than the City and the Consultant.
31. Equal Opportunity Employment. Consultant represents that It Is an equal opportunity employer shall not discriminate against any employee or applicant for employment because of race, religion, color, national origin, ancestry, sex, sier on then shal indude, dot be anted alone relate l
employment, upgrading, demotion, transfer, recruitment or recruitment advertising, layoff or termination.
entire understandle or ey and Con Alane t the a as one resents the --.- •
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have been made by any person which are not incorporated herein, and that any other agreements shall be vold. This is an integrated Agreement.
Severability. If any provision of this Agreement is determined by a court of competent jurisdiction to be invalid, illegal, or unenforceable for any reason, such determination shall not affect the validity or enforceability of the remaining terms and provisions hereof or of the offending provision in any other circumstance, and the remaining provisions of this Agreement shall remain in full force and effect.
34. Successors and Assigns. This Agreement shall be binding upon and shall inure to the benefit of the successors in interest, executors, administrators and assigns of each Party to this Agreement. However, Consultant shall not assign or transfer by itat the pier riten consent of cly. Any attempted astigment without such consent shall be invalid and void.
35. Non-Waiver. The delay or failure of elther Party at any time to require erformance or compliance by the other Party of any of its obligations or agreements
36. Time of Essence. Time is of the essence for each and every provision of this Agreement.
37. Headings. Paragraphs and subparagraph headings contained in this Agreement are included solely for convenience and are not intended to modiiy, explain, or to be a full or accurate description of the content thereof and shall not in any way affect the meaning or interpretation of this Agreement.
38. Amendments. Only a writing executed by all of the Parties hereto or their respective successors and assigns may amend this Agreement.
39. City's Right to Employ Other Consultants. City reserves its right to employ other consultants, including engineers, in connection with this Project or other projects.
40. Prohibited Interests. Consultant maintains and warrants that it has neithe employed nor retained any company or person, other than a bona fide employee 13 .-—-
have any direct interest in this Agreement, or obtain any present or anticipated material benefit arising therefrom.
41. Counterparts. This Agreement may be executed in one or more counterparts, each of which shall be deemed an original. All counterparts shall be construed together and shall constitute one single Agreement.
Authority. The persons executing this Agreement on behalf of the Parties hereto warrant that they are duly authorized to execute this Agreement on behalf of said Parties and that by doing so, the Parties hereto are formally bound to the provisions of
43. Order of Precedence.
The following order and succession of the referenced documents shall gover in the event of conflict between documents:
Amendments)
2. This Agreement
3. Task Orders
44. Electronic Signatures. Each Party acknowledges and agrees that this Agreement may be executed by electronic or digital signature, which shall be considered as an original signature for all purposes and shall have the same force and [SIGNATURES ON FOLLOWING PAGE]
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SIGNATURE PAGE FOR ON-CALL PROFESSIONAL SERVICES AGREEMENT
BETWEEN THE CITY OF SAN BERNARDINO
AND WILLDAN ENGINEERING
IN WITNESS WHEREOF, the Parties have executed this Agreement as of the date first written above.
CITY OF SAN BERNARDINO CONSULTANT
PPROVED BY: WILLDAN ENGINEERING
Robert D. Field Signature
City Manager
Patrick Johnson
ATTESTED BY: Name
Ache
Попова Director - Building & Safety
Genoveva Rocha, CMC Title
City Clerk
APPROVED AS TO FORM:
Best Best a Krieger LP
City Attorney
15 •
EXHIBIT A
Scope of Services / Schedule of Charges and Payments / Activity Schedule [attached]
16 WILLDAN
Cover Letter
February 25, 2021
ity of San Bernardin
ttn: Vanessa Slouk
290 North D Street
San Bernardino, CA 92401
Subject: Proposal - Plan Check, Building, Grading, Site Inspection and Staffing Services F-21-17
Dear Ms. Slouka:
Willdan Engineering is pleased to present this proposal to the City of San Bernardino to continue to provide Building and Safety services to the City. Willdan has been a consistent industry leader for more than 57 years providing all aspects of municipal and infrastructure engineering, including building and safety, public works, public financing, planning, and construction management services.
While our exceptional services are presented in this response, listed below are reasons why Willdan is uniquely qualified to provide these services to the City of San Bernardino. * Demonstrated Competence and Unmatched Jurisdictional Knowledge - Willdan Engineering presently provides building and safety services to a vast number of jurisdictions throughout California.
In this capacity, we provide a full range of services including Building Official services, building and safety plan review, permit issuance, inspection, and code enforcement. Willdan has been providing services to the City of San Bernardino for more than 30 years and our staff has extensive experience City's requests.
* Electronic Plan Review - Willdan Engineering offers electronic plan review which reduces foot traffic at City Hall and significantly expedites review as well as reduces shipping and printing costs for the applicant while promoting a paperless environment at no additional cost to the City or permit applicants.
• CASp Certified Inspectors and Plans Examiners - Willdan Engineering can provide CASp certified specialists to the City, as required by Senate Bill No. 1608, specifically CHAPTER 549.
Local Preference - With a local San Bernardino office, Willdan has been an integral part of the San Bernardino community since 1977.
* Customer Service - Our approach to user-friendly customer service specifically results in reduced number of plan review rechecks and has allowed us to meet the required plan check turnaround time standards of the City. Likewise, the assignment of experienced building inspectors by Willdan results in accurate-time effective field building inspections.
909.386.0200 |. 800.789.7617 | fax: 909;888.6107 | 650 E. Hospitality Lane, Suite 400, San Bernardino; CA 92408 | www.willdan.com •
Page Two
February 25, 2021
Mir. Patrick Johnson, PE, CBO, Director of Bullding and Safety, will serve as Project Manager and is authorized to contractually bind Willdan. Mr. Johnson will oversee all day-to-day services provided to the City and can be reached as shown below:
Mr. Patrick Johnson, PE, CBO
Director of Building and Safety
Willdan Engineering
50 E. Hospitality Lane, Suite 40
an Bernardino, CA 9240
(909) 915-4361
[email protected]
This proposal shall remain valid for a period of not less than 120 days from the date of this submittal. As demonstrated in our proposal, our team possesses the skill and experience required to address the City's needs. We look forward to continuing our service to the City of San Bernardino and It's community.
Respectfully submitted,
WILLDAN ENGINEERING
Director of Building and Safety
TRUSTED,
W WILLDAN
Cost
Willdan has listed its percentage fee schedule for plan review services based on valuations and hourly rates. Expedited plan review will be charged a 1.25 factor based on the building plan review fee tables below. Percent of fee plan review will be charged through three reviews including approval. Subsequent reviews, if required, will be charged based on our hourly rate schedule.
BUILDING PLAN REVIEW WILLDAN PERCENTAGE*
Valuation up to $999,000 65% of fees collected
Valuation of $1,000,000 - $5,000,000 60% of fees collectec Valuation of greater than $5,000,000 - 50% of fees collected May be negotiated on a project basis for the first 3
Optional: Projects with a City plan check fee
plan reviews. Reviews after the 3" review will be
over $10,000 billed hourly
*Structural Only Plan Review = 45% of the Willdan fee
*Architectural/MEP Only Plan Review = 35% of the Willdan fee
SERVICE PROVIDED HOURLY RATE
Building Plan Review $118/hour
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Civil Plan Review $118/hour
Building Inspection $85/hour
Grading Inspection $97/hour
CASp Plan Review/Inspection $118/hour
Permit Technician $60/hour
General Administrative Services $55/hour
-....
On-Call Building Official $125/hour
On-Call Plan Check Engineer $120/hour
EXHIBIT B
Sample Task Order Form
TASK ORDER
Task Order No....
Agreement: ON-CALL PROFESSIONAL SERVICES AGREEMENT BETWEEN THE
CITY OF SAN BERNARDINO AND WILLDAN ENGINEERING
Consultant: WILLDAN ENGINEERING
te Consultant is hereby authorized to perform the following services subject! e provisions of the Agreement identified abov
List any attachments: (Please provide if any.)
Dollar Amount of Task Order: Not to exceed $_
Completion Date:
he undersigned Consultant hereby agrees that it will provide all equipment, furnish al materials, except as may be otherwise noted above, and perform all services for th work above specified in accordance with the Agreement Identified above and will accept as full payment therefore the amount shown above
CITY OF SAN BERNARDINO WILLDAN ENGINEERING
Dated: Dated:_
By: By:
17 •
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CORD® CERTIFICATE OF LIABILITY INSURANCE
HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THI
ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
Holder Identifler: AFU
on is Insurance services west, Inc. TAC. No.): (800) 363-0105 ARESS:
INSURERS) AFFORDING COVERAGE NAIC #
INSURED INSURER A: Travelers Property cas co of America 25674 Ildan Engineeri INSURER B: Lexington Insurance Company 19437 01 East Katella Aver
Suite 300 INSURERC:
Anaheim CA 92806 USA INSURER D:
INSURER FI
COVERAGES CERTIFICATE NUMBER: 570084807852 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ELISONE AND ORDIN OF SO ETCE ENE IN MY RAN BEN ENCE BY AS CLAN EREN B' ARE NO Es RECE Limits shown are as requested
TYPE OF INSURANCE 1028320 1289402 CAN OURSE LIMITS
X COMMERCIAL GENERAL LIABILITY $1,000,000
CLAIMS-MADE [X OCCUR DAMAGE TO RENTED $1,000,000
PREMISES (Ea occurrence)
ED EXP (Any one perso $15,000
Employee Benefts Liabllity
ERSONAL & ADV INJUF $1,000,000
GENERAL AGGREGATE 52,000,000
[X POLY • PRODUCTS - COMPIOP AGG $2,000,000 570084807852 OTHER:
1810-7N676545-20-43-6 11/09/20201/09/2021 Can NGE LONT 51,000,000
AUTOMOBILE LIABILITY
X AAYAUTO ODILY INJURY (Per pers
7 SCHEDULED DILY INJURY (Per acci
OWNED AUTOS Certificate No:
NON-OWNED PROPERTY DAMAGE
AUTOS ONLY
UMBRELLA LIAB OCCUR EACH OCCURRENCE
EXCESS LIAB | CLAIMS-MADE AGGREGATE
DED RETENTION
RKERS COMPENSATION A UBOL6636782043G 11/09/2020111/09/2021 x PER STATUTE OTH THERENDER BED RECUTE Me EL. EACHACCIDENT 51,000,000
EL. DISEASE-EA EMPLOYEE 51,000,00
landatory in N
EL. DISEASE-POLICY LIMIT $1,000,000
52,000,000
Archit&Eng Prof
5100000
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additonal Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
EXPRATON DATE THEREO, NOTICE WILL BE DELIVERE IN ACCORDANGE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
do re Bergartine
san Bernard So CA 92418 USA Aar Rish Insurance Services West Sna ©1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD •
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Policy Number: 630-7J366586-TIL-20 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED - WRITTEN
CONTRACTS (ARCHITECTS, ENGINEERS AND
SURVEYORS)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
1. The following is added to SECTION II - WHO IS plies only to such "bodily injury" or "property AN INSURED: damage" that occurs before the end of the pe- Any person or organization that you agree in a riod of time for which the "written contract re- "written contract requiring insurance" to include as quiring insurance" requires you to provide an additional insured on this Coverage Part, but: such coverage or the end of the policy period, whichever is earlier.
a. Only with respect to liability for "bodily injury",
"property damage" or "personal injury"; and 2. The following is added to Paragraph 4.a. of SEC.
TION IV - COMMERCIAL GENERAL LIABILITY
b. If, and only to the extent that, the injury or CONDITIONS:
damage is caused by acts or omissions of
you or your subcontractor in the performance The insurance provided to the additional insure of "your work" to which the "written contract s excess over any valid and collectible "other in requiring insurance" applies. The person or surance", whether primary, excess, contingent o on any other basis, that is available to the addi
organization does not qualify as an additional
insured with respect to the independent acts tional insured for a loss we cover. However, if you specifically agree in the "written contract requiring
or omissions of such person or organization.
insurance" that this insurance provided to the ad.
The insurance provided to such additional insured ditional insured under this Coverage Part must is limited as follows apply on a primary basis or a primary and non- c. In the event that the Limits of Insurance of ontributory basis, this insurance is primary t this Coverage Part shown in the Declarations other insurance" available to the additional ir exceed the limits of liability required by the sured which covers that person or organization as "written contract requiring insurance", the in- a named insured for such loss, and we will not surance provided to the additional insured
shall be limited to the limits of liability required
by that "written contract requiring insurance".
This endorsement shall not increase the limits
of insurance described in Section III - Limits
Of Insurance.
*. TERCIAL GENERAL A BIT CONDITION
or omissions. Duties Of An Additional Insured
fiona fastion of coverage provided to tha addi-
CG D4 14 04 08 © 2008 The Travelers Companies, Inc. Page 1 of 2 - -
COMMERCIAL GENERAL LIABILITY
i. How, when and where the "occurrence" any provider of other insurance which would or offense took place; cover the additional insured for a loss we . The ns an and redes ans of any inured
• The nature and location of any injury
amage arising out of the "occurrence"
offense.
. the daim in an anued, the ls brought anguined 4. Ton following is added to the DEFINITIONS SeC- i. Immediately record the specifics of the
claim or "suit" and the date received; and
ii. Notify us as soon as practicable.
1. After the signing and execution of the contrac
or agreement by you;
b. While that part of the contract or agreement is
in effect; and
c. Before the end of the policy period.
. The additional insured must tender the d
ense and indemnity of any claim or "suit" (
•
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Policy Number: 810-7N676545-20-43-G COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO EXTENSION ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
ge description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this el orsement and the rest of your policy carefully to determine rights, duties, and what is and is not coverec A. BROAD FORM NAMED INSURED H. HIRED AUTO PHYSICAL DAMAGE - LOSS OF
USE - INCREASED LIMIT
B. BLANKET ADDITIONAL INSURED
I. PHYSICAL DAMAGE - TRANSPORTATION
C. EMPLOYEE HIRED AUTO EXPENSES - INCREASED LIMIT
D. EMPLOYEES AS INSURED J. PERSONAL PROPERTY
E. SIMPSEMENTARY PAYMENTS - INCREASED K. AIRBAGS
L. NOTICE AND KNOWLEDGE OF ACCIDENT OR
F. HIRED AUTO - LIMITED WORLDWIDE COV- LOSS
ERAGE - INDEMNITY BASIS M. BLANKET WAIVER OF SUBROGATION G. WAIVER OF DEDUCTIBLE - GLASS N. UNINTENTIONAL ERRORS OR OMISSIONS
PROVISIONS
A. BROAD FORM NAMED INSURED this insurance applies and only to the extent that The following is added to Paragraph A.1., Who Is person or organization qualifies as an "insured" An Insured, of SECTION II - COVERED AUTOS under the Who Is An Insured provision contained LIABILITY COVERAGE: in Section II.
C. EMPLOYEE HIRED AUTO
BLANKET ADDITIONAL INSURED
The following is added to Paragraph c. in A.1 2. The following replaces Paragraph b. in B.
Nho Is An Insured, of SECTION II - COVEREI ther Insurance, of SECTION IV - BUS AUTOS LIABILITY COVERAGE: NESS AUTO CONDITIONS:
. For Hired Auto Physical Damage Cove
red autos you r: dermed to be col
CA T3 53 02 15 2015 The Travelers Indemnity Company. All rights reserve Page 1 of 4 cludes copyrighted material of Insurance Services Office, Inc. with Its permissic -
COMMERCIAL AUTO
Pete to en pet or you us (a) With respect to any claim made or "suit" brought outside the United States of
ness. America, the territories and possessions
lowever, any "auto" that is leased, hirec of the United States of America, Puerto ented or borrowed with a driver is not Rico and Canada:
covered "auto". (i) You must arrange to defend the "in- D. EMPLOYEES AS INSURED
TABLET OVERTO RECOVERED AUTOS tions.
(ii) Neither you nor any other involved
"insured" will make any settlemen
without our consent.
(iii) We may, at our discretion, participate
E. SIMPSEMENTARY PAYMENTS - INCREASED in defending the "insured" against, or in the settlement of, any claim or
1. The following replaces Paragraph A.2.a.(2), "suit".
of SECTION II - COVERED AUTOS LIABIL- (iv) We will reimburse the "insured" for ITY COVERAGE: sums that the "insured" legally must
(2) Up to $3,000 for cost of bail bonds (ir pay as damages because of "bodily luding bonds for related traffic law viola injury" or "property damage" to which this insurance applies, that the "in-
sured" pays with our consent, but
these bonds. only up to the limit described in Para-
graph C., Limits Of Insurance, of
SECTION II - COVERED AUTOS
ITY COVERAGE:
(v) We will reimburse the "insured" for
the reasonable expenses incurred
with our consent for your investiga-
tion of such claims and your defense
of the "insured" against any such
"suit", but only up to and included
within the limit described in Para-
The following replaces Subparagraph (5) in Para graph C., Limits Of Insurance, of graph B.7., Policy Period, Coverage Territory SECTION II - COVERED AUTOS TI SECTION IV - BUSINESS AUTO CONDI- LIABILITY COVERAGE, and not in addition to such limit. Our duty to
(5) Anywhere in the world, except any country or make such payments ends when we jurisdiction while any trade sanction, em- have used up the applicable limit of insurance in payments for damages,
united States or Arena on les any re settlements or defense expenses. hibits the transaction of business with or (b) This insurance is excess over any vali within such country or jurisdiction, for Cov and collectible other insurance availabl ered Autos Liability Coverage for any coverec to the "insured" whether primary, excess 'auto" that you lease, hire, rent or borrow contingent or on any other basis vithout a driver for a period of 30 days or les!
and that is not an "auto" you lease, hire, rent
or borrow from any of your "employees",
partners (if you are a partnership), members
(if you are a limited liability company or Canada.
members of their households.
Includes copyrighted material of Insurance Services Office, Inc. with Its permission. - -
COMMERCIAL AUTO
ou agree to maintain all required (2) In or on your covered "auto". mpulsory insurance in any such cou his coverage applies only in the event of a tota heft of your covered "auto"
No deductibles apply to this Personal Property
coverage.
K. AIRBAGS
ame extent we would have been liabl
lad you complied with the compulsory in
COVERAGE:
If that "auto" is a covered "auto" for Compr
for compliance in any way with the law: ensive Coverage under this polic of other countries relating to insurance b. The airbags are not covered under any war- G. WAIVER OF DEDUCTIBLE - GLASS ranty; and
The following is added to Paragraph D., Deducti- c. The airbags were not intentionally inflated. ble, of SECTION III - PHYSICAL DAMAGE We will pay up to a maximum of $1,000 for any COVERAGE: one "loss".
No deductible for a covered "auto" will apply to L. NOTICE AND KNOWLEDGE OF ACCIDENT OR glass damage if the glass is repaired rather than LOSS
replaced.
H. HIRED AUTO PHYSICAL DAMAGE - LOSS OF SECTION V BUSINESS TO CONDiTiO
USE - INCREASED LIMIT
The following replaces the last sentence of Pare
graph A.4.b., Loss Of Use Expenses, of SEC
TION III - PHYSICAL DAMAGE COVERAGE:
(a) You (if you are an individual);
(b) A partner (if you are a partnership);
(c) A member (if you are a limited liability com-
l. PHYSICAL DAMAGE - TRANSPORTATION
EXPENSES - INCREASED LIMIT
1) An eager i you are a diportion our ne
The following replaces the first sentence in Para-
Transportation Expenses, ganization); or
ACON IT PAYSIAL DAMA COVER 1) Any orne acident orad by you to sive no.
1.500 or emporary rat pay in expense not M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.5., Transfer
rred by you because of the total theft of a co Of Rights Of Recovery Against Others To Us ed "auto" of the private passenger tyr of SECTION IV - BÚSINESS AUTO CONDI
1. PERSONAL PROPERTY TIONS:
The Extensions, Of SC ProN i A COA . Transfer Of Rights Of Recovery Agains thers To U
DAMAGE COVERAGE:
We will pay up to $400 for "loss" to wearing ap
parel and other personal property which is:
(1) Owned by an "insured"; and
CA T3 53 02 15 Page 3 of 4
Includes on The realer lenty Come Alone resore permision. •
-
COMMERCIAL AUTO
person or or he in despies on in the The unintentional omission of, or unintentional error in, any information given by you shall not
contract.
N. UNINTENTIONAL ERRORS OR OMISSIONS
The following is added to Paragraph B.2., Con-
cealment, Misrepresentation, cancellation or non-renewal.
SECTION V- BUSINESS AUTO CONDITIONS
Includes copyrighted materlal of Insurance Services Office, Inc. with its permission. •
- -
POLICY NUMBER: 630-7J366586-TII-20
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED ENTITY - NOTICE OF
CANCELLATION PROVIDED BY US
This endorsement modifies insurance provided under the following:
ALL COVERAGE PARTS INCLUDED IN THIS POLICY
SCHEDULE
CANCELLATION: Number of Days Notice of Cancellation: 30
PERSON OR
ORGANIZATION:
ANY PERSON OR ORGANIZATION TO WHOM YOU
HAVE AGREED IN A WRITTEN CONTRACT THAT
NOTICE OF CANCELLATION OF THIS POLICY
WILL BE GIVEN, BUT ONLY IF:
1. YOU SEND US A WRITTEN REQUEST TO
PROVIDE SUCH NOTICE, INCLUDING THE
NAME AND ADDRESS OF SUCH PERSON OR
ORGANIZATION, AFTER THE FIRST NAMED
INSURED RECEIVES NOTICE FROM US OF THE
CANCELLATION OF THIS POLICY, ANI
2. WE RECEIVE SUCH WRITTEN REQUEST AT
LEAST 14 DAYS BEFORE THE BEGINNING OF
THE APPLICABLE NUMBER OF DAYS
SHOWN IN THIS ENDORSEMENT.
ADDRESS:
WRITTEN REQUEST FROM YOU TO US.
above. We will mail such notice to the address show
in the schedule above at least the number of day
shown for cancellation in the schedule above before
schedule above, we will mail notice of cancellation t the effective date of cancellation. he person or organization shown in the schedule
IL T4 05 03 11 ©2011 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Business License Web Search- Page 1 of 1
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Email Any Questions Or Translation Suggestions/Corrections https://secure.sbcity.org/websearch/default.aspx 09/21/2021 Fom W-9 Request for Taxpayer Give Form to the
(Rev. October 2018) Identification Number and Certification requester. Do not Enteral Revere rary send to the IRS.
• Go to www.irs.gov/FormW9 for instructions and the latest information. 1 Name (as shown on your income tax retum). Name is required on this line; do not leave this line blank.
WILLDAN
Business name/disregarded entity name, if different from above page a Cia rada for federal ta lasaliation of the person whose name la ontore on ln 1. Check only one of the Elmentine, notes play re certain entities, not Individuals; see Instructions on page 3):
hailmentor prieto or 12 c corporation • s Corporation • Partnership • Trust/ostato Exempt payoo code (if any).
• Limited lability company. Enter the tax classification (C-C corporation, S=S corporation, P-Partnership) * Print or type. Specific Instructions on Vote: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check | Exemption from FATCA reportin LC if the LLC Is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. fderal tax purposes. Otherwise, a singfe-member LLC that code (if any) is disregarded from the owner should check the appropriate box for the tax classification of Its owner. • Othor (soo Instructions) • Aplos to Bocounts maintainad outside the U.S.) 6 Address (number, street, and apt. or sulte no.) See Instructions. Requester's name and address (optiona) § 2401 E Katella Avenue, Suite 300
6 City, state, and ZIP code
Anaheim, CA 92806 City of San Bernardino
7 List account number(s) here (optional)
Part | Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Social security number backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident allen, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other 1-Ш- entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. or
Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Employer Identification number Number To Give the Requester for guldelines on whose number to enter. 5 -2295 8
Part II Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am walting for a number to be issued to me); and I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Reveni rvice (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I a no longer subject to backup withholding: and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax retum. For real estate transactions, Item 2 does not apply. For mortgage interest paid, other than interes and dividends, you are not required to in the cer floatin, but you must provide your corer iN. Se the neration for Pet l, ments, Sign DN: cn-Estelle Cope, o-Willdan, ou,
Signature of / Estelle Cope Dolo: 202.00.20 13200-008
Here U.S. person Date •
General Instructions • Form 1099-DIV (dividends, including those from stocks or mutual funds)
Section references are to the Internal Revenue Code untess otherwise • Form 1099-MISC (various types of income, prizes, awards, or gross noted. proceeds)
Future developments. For the latest information about developments • Form 1099-B (stock or mutual fund sales and certain other related to Form W-9 and its instructions, such as legislation enacted transactions by brokers) after they were published, go to www.irs.gov/FormW9.
• Form 1099-S (proceeds from real estate transactions)
Purpose of Form • Form 1099-K (merchant card and third party network transactions) in individual or entity (Form W-9 requester) who is required to file ai • 095- (lich me mortgage interest), 1098-E (student loan interes), formation retum with the IRS must obtain your correct taxpaye identification number (TIN) which may be your social security number • Form 1099-C (canceled debt) (SSN), individual taxpayer identification number (ITIN), adoption • Form 1099-A (acquisition or abandonment of secured property) taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other Use Form W-9 only if you are a U.S. person (including a residen amount reportable on an information retum. Examples of information alien), to provide your correct TIN returns include, but are not limited to, the following. he sulpt of cup worm ling so rogue eat it you mighte • Form 1099-INT (interest earned or paid)
Cat. No. 10231X Form W-9 (Rev. 10-2018)